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Cllent#: 567611 CCORCOMM <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE GAT 1 #A03/2312 14 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br />CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, WEND OR ALTER THE COVERAGE AFFORDED SYTHE POLICIES <br />BELOW. THIS CER71FICATE OF INSURANCE DOES NOT CONS77TUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT. If the certificate holder ]son ADDITIONAL INSURED, the policy(ies) must be endorsod. If SU BROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rig his to the <br />certificate holder In lieu of such andorsementia), <br />Hub International <br />HUB Int'l Insurance Serv. Inc. <br />10222 Lakewood Blvd, <br />Downey, CA 90241 <br />CCDR Communications,] no.; Crystal-Clear <br />130 E. Dyer Road Suits B <br />Santa Ana, CA 92707 <br />COVERAGES CERTIFICATE NUMBER- 129WRIMM MIIMPPR• <br />THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W17H RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY��PAIDD�CLAIMS, <br />N q <br />TYPE OF INSURANCE <br />INS <br />UG <br />POLICY NUMBER <br />D <br />011DOYYEYYY <br />MM /DO/YVYV <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABIL17Y <br />_ CL41M6 -AMOE _AJ OCCUR <br />X <br />72SBATU1039 <br />3(0112013 <br />0310112014 <br />EACH OCCURRENCE. <br />$1 000000 <br />TgRFNTEO <br />�Q S Ea oaunoncel <br />$300000 <br />MEDEXP (Any one on rsun <br />s10000 <br />PERSONAL & ADV INJURY <br />111 000 000 <br />GENFRILAGGRCOATE <br />s2000000 <br />GENL ACGREGATE <br />X POLICY <br />LIMIT APPLESu PER: <br />I MR LOC <br />PRODUCTS - COMPIOP AGO <br />s2000000 <br />$ <br />AUTOMOBILE <br />MABIUTV <br />ANYAUTO <br />ALL OWNED SCIECULC-D <br />AU'rOa AUTOS <br />HIRED AUI'US �� O WNFD <br />TrS.+Y y <br />�+T'•� <br />v dam• <br />r�+p� <br />5�, y4J <br />C�y�'q <br />j;L1.aJ• <br />�— <br />LO BI DSINGLE LIMIT <br />a e <br />BODILY INJURY(Pcr parson) <br />3 <br />BO DILYINJURY(PerRa+ienH <br />s <br />. nu. R7Y ."MACE <br />Peracrltlenl <br />$ <br />$ <br />UMERELLA LIAR <br />E %CE96 LIAB <br />OCCUR <br />CLAIMS MACE <br />A�;,I <br />.� =jf+ <br />^'°� <br />le <br />EACH OCCURRENCE <br />$ <br />gOGREGATE <br />$ <br />OED RETENTION S <br />$ <br />AND EMPLOYERS' COMPENSATION <br />AND EMppPppLOYERS'PARTNE YIN <br />O}ICkWMGM1TnOC- K EXCLUDED EXECUTIVE <br />(Mandatory In NH) <br />0�,G¢ deacnha pntteY <br />OESCRIPrIDN CF OPEfL \TIONS gobv <br />NIA <br />fjS915 0f1 { <br />„a <br />/ <br />WC STATU- 4TH. <br />- <br />E.L. [ACH ACCIDEI•!T <br />CHAU9D <br />$ <br />_. <br />EL,016RASE-EAFNIPLOYEE <br />$ <br />E,4 DISEASE, POLICY LIMB <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attaotl ACOR0101, Addebnal Ramalks Schadaie, U more mace la roquhod) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; Its officers, employees, agents <br />and volunteers are named as additional insureds <br />CGOTICIYATR IAN n00 I^A \IPOI I .'f . <br />The City of Santa Ana <br />20 Civic Center Plaza <br />SHOULD ANY OPTIIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOP, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Santa Ana, CA 92702 <br />AU T H ORIZED REPRESENTATIVE <br />ID 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010!05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#k52616161/M2166529 MB43 EXHIBIT C <br />